36D1008471 CLIA NUMBER - CINCINNATI CHILDREN'S HOSPITAL LIBERTY CAMPUS

Laboratory Demographics

  • CLIA Code: 36D1008471
  • Facility Name: CINCINNATI CHILDREN'S HOSPITAL LIBERTY CAMPUS
  • Facility Address: 7777 YANKEE ROAD ROOM 110
    LIBERTY TOWNSHIP, OH
    ZIP 45044
  • Facility Phone: 513 636-4388
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Microscopy
  • Lab Director: ELENA DUMA
  • NPI Number: 1386192482
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D1008471
LAB Type Ancillary Testing Site in Health Care Center
Facility Name CINCINNATI CHILDREN'S HOSPITAL LIBERTY CAMPUS
Street 7777 YANKEE ROAD ROOM 110
City LIBERTY TOWNSHIP
State OH
ZIP 45044
Phone 513 636-4388
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/21/2024
Certificate Expiration Date 7/20/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director ELENA DUMA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 9/29/2025